CTICasesLeft Lung Herniation post-Lung Transplant
Imaging findings
CT chest in a patient post-unilateral left lung transplant shows herniation of the left lung across the posterior mediastinum, traversing into the space between the esophagus and the aorta.
Key takeaways
Lung herniation across the posterior mediastinal line can occur post-lung transplantation or thoracotomy. Surgical modifications of the pleura and mediastinal reflections create potential spaces where the hyper-expanded donor lung can herniate, typically representing an asymptomatic, incidental finding.
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